Aspects of referred infants to Niigata University Hospital after newborn hearing screening
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概要
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We investigated 64 infants referred to our clinic between 2000 to 2005 for further evaluation of hearing after newborn hearing screening. Thirty-two cases each had been screened by automated auditory brainstem response (AABR) and otoacoustic emission (OAE) studies. The results of examination combining conditioned orientation response audiometry (COR) and ABR revealed that 32 (50%) cases had hearing loss, including 20 (63%) cases who had been screened by AABR and 12 (38%) cases who had been screened by OAE. Bilateral hearing loss was detected in 9 (56%) of 16 infants referred for bilateral hearing loss. The false-positive rate was relatively small, therefore, the screening examinations appeared to have been adequately performed. Six of the 47 cases referred for unilateral hearing loss were diagnosed as having bilateral hearing loss. Progression of the hearing loss was confirmed in two cases, and a falsenegative result of screening was suspected in four cases. Strict follow-up of infants referred for unilateral hearing loss is needed, because they frequently progress to bilateral hearing loss. In our prefecture, since universal screening has not been introduced yet, referral of some infants from the obstetric clinic was delayed, resulting in delayed diagnosis. The designing of a universal screening system in the prefecture would be highly desirable.
- 日本聴覚医学会の論文
日本聴覚医学会 | 論文
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